EAST TEXAS BORDER HEALTH CLINIC (GENESIS PRIMECARE) - NPI NUMBER 1700134996

Summary

Provider Name: EAST TEXAS BORDER HEALTH CLINIC (GENESIS PRIMECARE)

NPI Number: 1700134996

NPI Type: Organization

Clasification: General Practice (208D00000X)

Address:
502 E RUSK
MARSHALL, TX
ZIP 75670

Phone Number: (903) 927-3782



Detailed Information

EAST TEXAS BORDER HEALTH CLINIC is a general practitioner in Marshall, TX. The assigned NPI number for this provider is 1700134996 and is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Genesis Primecare.

The provider's business address is:

502 E RUSK
MARSHALL, TX
ZIP 75670-408
Phone: (903) 927-3782
Fax: (903) 927-1764

The provider's authorized official is Carla Roadcap .
The authorized official title is Ceo and has the following contact phone number (903) 927-3782.

The enumeration date for this NPI number is 8/21/2012 and was last updated on 4/7/2015.

Map - Location of Practice




This page was last updated on: 5/13/2015

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.